Individual provider Active NPI

Bria A Dunkin, PSY.D.

  • Clinical Neuropsychologist
  • Stevensville, MT
National Provider Identifier
1063797686
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2977 Issued in MT
Practice address
3972 US Highway 93 N Ste G
Stevensville, MT 59870-6469
Phone
(406) 200-9079
Fax
(406) 641-3530
NPI assigned
Oct 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY1285 HI
Clinical Psychologist 103TC0700X PSY1285 HI
Clinical Child & Adolescent Psychologist 103TC2200X 2977 MT
Clinical Neuropsychologist 103G00000X 2977 MT Primary

Addresses

Primary practice location

3972 US Highway 93 N Ste G
Stevensville, MT 59870-6469

Mailing address

3972 US Highway 93 N Ste G
Stevensville, MT 59870-6469
Phone (406) 200-9079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200414001757 MT Practitioner - Clinical Psychologist 4082992532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3972 US Hwy 93 N
Suite G
Stevensville, MT 59870-6469
Phone (406) 200-9079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY1285HIMDClinical Psychologist
2977MTMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Element Center for Neurodevelopment Clinical Neuropsychologist CurrentSince Aug 27, 2024 Accepting new patients

Locations

3972 US Highway 93 N
Ste G
Stevensville, MT 59870
Phone (406) 200-9079

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1063797686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 US HIGHWAY 93 N STE G",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706469",
            "telephone_number": "406-200-9079",
            "fax_number": "406-641-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 US HIGHWAY 93 N STE G",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706469",
            "telephone_number": "406-200-9079",
            "fax_number": "406-641-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKIN",
        "first_name": "BRIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "HI",
            "license": "PSY1285",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY1285",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MT",
            "license": "2977",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MT",
            "license": "2977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

Verify at the official NPI Registry.